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Empyema following pneumonectomy for Non Small Cell Lung Cancer (NSCLC) is a known problem that occurs in about 2% of pneumonectomy patients.
The development of an empyema following pneumonectomy is a devastating complication, especially if associated with an underlying fistula. Whilst the perioperative mortality of pneumonectomy overall is now less than 5%, this rises to around 25% when complicated by empyema, and about 50% when associated with fistula. In addition, there is the morbidity and social cost of long-term drainage, chronic sepsis and often multiple operations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EFP | Empyema following pneumonectomy | ||
| nEFP | No empyema following pneumonectomy |
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| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | overall 5-year survival after empyema following pneumonectomy | 5 years from surgery |
| Measure | Description | Time Frame |
|---|---|---|
| incidence rate | incidence of empyema, accompanied with broncho-pleural fistula or not, divided in short term (less than 1 yr postoperatively) and long term (up to 5 years postoperatively) incidence. | 1 and 5 years from surgery |
| Measure | Description | Time Frame |
|---|---|---|
| fast track treatment outcome | over the last 7 years, a new approach - known as 'fast track treatment of Empyema following pneumonectomy (EFP)' is used. We will examine if there is a benificial aspect in this approach, regarding survival en hospital stay. | 5 years from surgery |
Inclusion Criteria:
Exclusion Criteria:
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All consecutive pneumonectomies for Non Small Cell Lung Cancer (NSCLC) from the University Hospital Leuven from 1996 till 2012
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| Name | Affiliation | Role |
|---|---|---|
| Paul De Leyn, PhD; MD | UZ Leuven, Dept. Thoracic Surgery | Study Director |
| Arnaud Colle | University Leuven | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Leuven, Dept. Thoracic Surgery | Leuven | 3000 | Belgium |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
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| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |